Provider Demographics
NPI:1386043404
Name:LAVACA COUNTY SENIOR CITIZENS PROGRAM
Entity type:Organization
Organization Name:LAVACA COUNTY SENIOR CITIZENS PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GRAHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-798-4198
Mailing Address - Street 1:PO BOX 531
Mailing Address - Street 2:
Mailing Address - City:HALLETTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77964-0531
Mailing Address - Country:US
Mailing Address - Phone:361-798-4198
Mailing Address - Fax:
Practice Address - Street 1:109 N. LAGRANGE ST.
Practice Address - Street 2:
Practice Address - City:HALLETTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77964-2723
Practice Address - Country:US
Practice Address - Phone:361-798-4198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals